Sacramental Records Request Form
1.
Request Date:
2.
Name of Sacrament: (please check all that apply for request) * (1 required)
Baptism
First Communion
Confirmation
Marriage
Other
3.
Name at time of Sacrament: *
4.
Approximate date of Sacrament: *
5.
Date of Birth: *
6.
Father's Name: *
7.
Mother's Name: (please include Maiden name) *
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8.
Name of individual requesting record: *
9.
Please indicate your relationship to the individual whose records are being requested: *
Self
Parent
Child
Sibling
Spouse
Other* (*please explain)
10.
Address:
Address 1
Address 2
City
State
AK - US
AL - US
AR - US
AZ - US
CA - US
CO - US
CT - US
DC - US
DE - US
FL - US
GA - US
HI - US
IA - US
ID - US
IL - US
IN - US
KS - US
KY - US
LA - US
MA - US
MD - US
ME - US
MI - US
MN - US
MO - US
MS - US
MT - US
NC - US
ND - US
NE - US
NH - US
NJ - US
NM - US
NV - US
NY - US
OH - US
OK - US
OR - US
PA - US
RI - US
SC - US
SD - US
TN - US
TX - US
UT - US
VA - US
VT - US
WA - US
WI - US
WV - US
WY - US
AB - CA
BC - CA
MB - CA
NB - CA
NF - CA
NS - CA
NT - CA
NU - CA
ON - CA
PE - CA
QC - CA
SK - CA
YK - CA
Zip
11.
Telephone Number: *
12.
Email: *
13.
Please upload a copy of your photo ID (proof of identification is required by our Archdiocese):
(allowed file types: jpg, pdf, png)
14.
By checking the box below, I acknowledge that this constitutes a legal signature: * (1 required)
I agree (I am the individual or a family member of the person that I am requesting records for)
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15.
Send record(s) to:
16.
Address:
Address 1
Address 2
City
State
AK - US
AL - US
AR - US
AZ - US
CA - US
CO - US
CT - US
DC - US
DE - US
FL - US
GA - US
HI - US
IA - US
ID - US
IL - US
IN - US
KS - US
KY - US
LA - US
MA - US
MD - US
ME - US
MI - US
MN - US
MO - US
MS - US
MT - US
NC - US
ND - US
NE - US
NH - US
NJ - US
NM - US
NV - US
NY - US
OH - US
OK - US
OR - US
PA - US
RI - US
SC - US
SD - US
TN - US
TX - US
UT - US
VA - US
VT - US
WA - US
WI - US
WV - US
WY - US
AB - CA
BC - CA
MB - CA
NB - CA
NF - CA
NS - CA
NT - CA
NU - CA
ON - CA
PE - CA
QC - CA
SK - CA
YK - CA
Zip
17.
Attention:
18.
Comments or additional information (to assist us with our search):
19.
Enter Your Email Address: *
Submit
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